- Amended Application For Hearing
- Application For A Division Independent Medical Examination (IME) {WC77}
- Application For Expedited Hearing
- Application For Expedited Hearing - One Time Change Of Authorized Treating Physician
- Application For Hearing
- Application For Hearing - Disfigurement Only (Rule 10, OACRP)
- Application For Indigent Determination (IME) {WC35 IME}
- Application For Indigent Determination {WC35}
- Application For Lump Sum {WC62}
- Application To Uninsured Employer Fund {WC202}
- Authorization For Release Of Information {WC189}
- Authorization For Release Of Limited Information To Third Parties {WC190}
- Case Information Sheet (CIS)
- Claims Settlement Agreement {WC104}
- Dependents Notice and Claim for Compensation {WC18}
- DIME Report Template {WC201}
- Division IME Examiners Summary Sheet {WC132}
- Division IME Physician Summary Disclosure Form (Insurer Or Self-Insured Employer) {WC179}
- EDI Sender Acceptance Form {WC175}
- Employers First Report Of Injury {WC1}
- Entry Of Appearance {WC6}
- Entry Of Appearance Form (OAC)
- Fatal Case-Final Admission {WC153}
- Fatal Case-General Admission {WC151}
- Final Admission Of Liability {WC4}
- First Report Transmittal {WC106}
- General Admission Of Liability {WC2}
- Hearing Cancellation
- Hearing Confirmation
- Info Regarding Independent Medical Exam {WC036}
- Interpreter Request
- Medical Billing Dispute Resolution Form {WC181}
- Monthly Summary {WC98}
- Motion To Close Claim For Failure To Prosecute {WC192}
- Notice Of Agreement To Limit The Scope of DIME {WC200}
- Notice Of Change Of Carrier or Adjusting Firm {WC168}
- Notice Of Contest With Instructions {WC74}
- Notice Of DIME Negotiations {WC165}
- Notice Of One-Time Change Of Physician And Authorization For Release Of Medical Information {WC3}
- Notice of Paydays
- Notice Of Reschedule Or Termination Of DIME {WC198}
- Order Status Request
- Payroll Statement Form {WC112}
- Permanent Work Related Mental Impairment Rating Report Work Sheet {WC-M3-PSYCH}
- Petition To Review
- Petition To Review And Request For Transcript
- Petiton To Modify Compensation {WC54}
- Physicians Report Of Workers Compensation Injury {WC164}
- Rejection Of Coverage By Corporate Officers Or Members Of Limited Liability Company With Instructions {WC43}
- Rejection Of Coverage By Partners And Sole Proprietors Performing Construction Work On Construction Sites {WC45}
- Request For Appointment To The Independent Medical Examination Panel {WC76}
- Request For Certification {WC109}
- Request For Change Of Physician {WC197}
- Request For Disfigurement Award Photo {WC 193}
- Request For Services {WC134}
- Request For Specific Findings Of Fact And Conclusions Of Law
- Request For Utilization Review {WC131}
- Request Or Notification For Follow Up IME {WC178}
- Request To Erase (Redact) Medical Information From An Audio Recording {WC34}
- Response To Application For Hearing
- Senders Trading Partner Profile {WC170}
- Senders Transmission Profile {WC169}
- Settlement Order {WC73}
- Settlement Routing Sheet {WC105}
- Subpoena To Appear And Or Produce
- Supplemental Report Of Return To Work {WC12}
- Surcharge Form {WC113}
- Third Party Administrator Location List {WC171}
- Trading Partner Insurer List {WC172}
- Voluntary Abandonment Of Claim {WC191}
- Workers Claim For Compensation {WC15}
- Workers Claim For Compensation Transmittal {WC174}